NEDAC 16th Annual Gala Dinner

Member Ticket $55 / Guest $60

Name *

Membership #

Passing Out Year *

Phone #

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Number of Tickets (Member) $55.00 Each. *Children under 12 years of age are not allowed.

Number of Tickets (Guest) $60.00 Each. *Please insert 0 if you are not buying a Guest Ticket.

Your Donation to NED Scholarship Fund - Enter the $ Amount (Optional) *Please insert 0 if you are not contributing to Scholarship fund at this moment.

Total $ Amount

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